NPI 1972804755

Chiropractic Avenue LLC

Organisation Health Maintenance Organization St George, UT

Practice location

Address: 169 W 2710 South Cir Suite 204, St George, UT 84790-7201
Phone: (435) 688-2292
Mailing address: 3155 S Hidden Valley Dr Unit 175, St. George, UT 84790

Authorised official

Name: Brent David Noorda
Title: Managing Partner
Phone: (435) 688-2292

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 7443716-1202 (UT)

Other Health Maintenance Organization providers in Utah →

Registry record

NPI: 1972804755
Entity type: Organization
NPI issued: 9 Nov 2010
Record last updated: 16 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.